March 25, NCLEX Review on GERD
NCLEX Review on GERD
Gastroesophageal Reflux Disease (By: AllNursingNotes)
Gastroesophageal Reflux Disease or GERD occurs when the reflux of stomach acid and contents has a “reflux” back into the esophagus.
Now lets look at some of the major causes of GERD:
- This is usually caused due to the weakness within the lower esophageal sphincter or LES.
- This acid, can affect the lining of the esophagus and eventually cause pain to the patient.
Assessment:
- Belching (eructation)
- Flatulence
- Chest Pain
- Dysphagia
- HeartBurn (burning and stinging sensation in the upper midsternum).
Diagnostic Tests:
- pH Monitoring is one of the accurate diagnostics (NG tube is used)
- A pH of less than 4 in the LES is a diagnosis of GERD
- Endoscopy
- Barium Swallow
Management:
- Avoid food that are irritants such as (spicy foods, chocolate, fats)
- Small frequent meals
- Not lie down 2-3 hours after eating.
- Avoid Alcohol
Medications:
- Antacids (Mylanta)
- Proton Pump Inhibitors (Protoix, Nexium)
- Histamine Blockers (Pepcid, Axid)
- Prokinetic Drugs (increases gastric emptying) (Reglan)
Procedures:
These procedures are important to know for the NCLEX.
Stretta- inhibits the vagus nerve activity in the GI system.
♣ Laproscopic Nissen Fundoplication (LNF)– fundus of the stomach is wrapped around the esophagus to support the LES.
♣ Post Op:
- Elevate the head of bed to prevent respiratory problems.
- Monitor the NG tube
After the procedure: the stomach size is smaller.
– Long term reflux of the acid in GERD patients can cause Barrett’s Esophagus.
- 8 comments
- Posted under Medical-Surgical
Permalink #
cures for acid reflux
said
Hi there to all, how is the whole thing, I think every one is getting
more from this web page, and your views are nice in favor of new visitors.
Permalink #
long hair
said
First of all I would like to say wonderful blog! I had a quick question in which I’d like to ask if you don’t mind.
I was interested to know how you center yourself and clear your head before writing.
I’ve had a tough time clearing my thoughts in getting my thoughts out. I do enjoy writing however it just seems like the first 10 to 15 minutes tend to be wasted simply just trying to figure out how to begin. Any recommendations or hints? Thanks!
Permalink #
mind movies
said
Hi there! This post couldn’t be written much better! Going through this post reminds me of my previous roommate! He always kept talking about this. I am going to forward this article to him. Fairly certain he will have a very good read. Many thanks for sharing!
Permalink #
eden biodome revolution
said
Nice post. I was checking constantly this blog and I am impressed!
Extremely useful info specially the last section 🙂 I take care of such info a lot.
I used to be looking for this particular information for a very long time.
Thank you and best of luck.
Permalink #
love spells white
said
It’s not my first time to pay a quick visit this web site, i am browsing this website dailly and obtain nice facts from here daily.
Permalink #
eden biodome revolution review
said
I every time used to read paragraph in news papers but now as I am a user of net therefore from now I am
using net for articles or reviews, thanks to web.
Permalink #
film porno gratuit
said
Vous faîteѕ constamment des postes attractifs
Permalink #
Beverly Hill
said
I have a 9 year old granddaughter who has had problems since she was about 5 with impaction of the bowles. She has seen Dr after Dr, Specialist and nothing seems to work. Even went into hospital in Jackson, Ms with pediatric gastro Dr and was cleaned out with tube inserted in her nose to her stomach. She takes daily medicine to aid her and it continues to happen. Trips to ER with stomach pain always get same results. Clean her out.
Her most recent trip to ER night before last and same assessment impacted and UTI. Stayed home from school yesterday and took liquid to clean her out, 2 bottles, Normal adult would have stayed in toilet all day. She went three times. Today she is sick at her stomach and the Dr still says its from uti. Her white count was up at ER and Im afraid she has appendix issues. What do you do at this point.